4723.43
Scope of specialized nursing services.

A certified registered
nurse anesthetist, clinical nurse specialist, certified nurse-midwife, or
certified nurse practitioner may provide to individuals and groups nursing care
that requires knowledge and skill obtained from advanced formal education and
clinical experience. In this capacity as an advanced practice
registered nurse, a certified nurse-midwife is
subject to division (A) of this section, a certified registered nurse
anesthetist is subject to division (B) of this section, a certified nurse
practitioner is subject to division (C) of this section, and a clinical nurse
specialist is subject to division (D) of this section.

(A)
A
nurse authorized to practice as a certified nurse-midwife, in collaboration
with one or more physicians, may provide the management of preventive services
and those primary care services necessary to provide health care to women
antepartally, intrapartally, postpartally, and gynecologically, consistent with
the nurse's education and certification, and in accordance with rules adopted
by the board of nursing.

No certified
nurse-midwife may perform version, deliver breech or face presentation, use
forceps, do any obstetric operation, or treat any other abnormal condition,
except in emergencies. Division (A) of this section does not prohibit a
certified nurse-midwife from performing episiotomies or normal vaginal
deliveries, or repairing vaginal tears. A certified nurse-midwife who holds a
certificate to prescribe issued under section
4723.48 of the Revised Code may,
in collaboration with one or more physicians, prescribe drugs and therapeutic
devices in accordance with section
4723.481 of the Revised
Code.

(B)
A nurse
authorized to practice as a certified registered nurse anesthetist, with the
supervision and in the immediate presence of a physician, podiatrist, or
dentist, may administer anesthesia and perform anesthesia induction,
maintenance, and emergence, and may perform with supervision preanesthetic
preparation and evaluation, postanesthesia care, and clinical support
functions, consistent with the nurse's education and certification, and in
accordance with rules adopted by the board. A certified registered nurse
anesthetist is not required to obtain a certificate to prescribe in order to
provide the anesthesia care described in this division.

The physician,
podiatrist, or dentist supervising a certified registered nurse anesthetist
must be actively engaged in practice in this state. When a certified registered
nurse anesthetist is supervised by a podiatrist, the nurse's scope of practice
is limited to the anesthesia procedures that the podiatrist has the authority
under section
4731.51 of the Revised Code to
perform. A certified registered nurse anesthetist may not administer general
anesthesia under the supervision of a podiatrist in a podiatrist's office. When
a certified registered nurse anesthetist is supervised by a dentist, the
nurse's scope of practice is limited to the anesthesia procedures that the
dentist has the authority under Chapter 4715. of the Revised Code to
perform.

(C)
A nurse
authorized to practice as a certified nurse practitioner, in collaboration with
one or more physicians or podiatrists, may provide preventive and primary care
services, provide services for acute illnesses,
and evaluate and promote patient wellness within the nurse's nursing specialty,
consistent with the nurse's education and certification, and in accordance with
rules adopted by the board. A certified nurse practitioner who holds a
certificate to prescribe issued under section
4723.48 of the Revised Code may,
in collaboration with one or more physicians or podiatrists, prescribe drugs
and therapeutic devices in accordance with section
4723.481 of the Revised Code.

When a certified nurse
practitioner is collaborating with a podiatrist, the nurse's scope of practice
is limited to the procedures that the podiatrist has the authority under
section 4731.51 of the Revised Code to
perform.

(D)
A nurse
authorized to practice as a clinical nurse specialist, in collaboration with
one or more physicians or podiatrists, may provide and manage the care of
individuals and groups with complex health problems and provide health care
services that promote, improve, and manage health care within the nurse's
nursing specialty, consistent with the nurse's education and in accordance with
rules adopted by the board. A clinical nurse specialist who holds a certificate
to prescribe issued under section
4723.48 of the Revised Code may,
in collaboration with one or more physicians or podiatrists, prescribe drugs
and therapeutic devices in accordance with section
4723.481 of the Revised Code.

When a clinical nurse
specialist is collaborating with a podiatrist, the nurse's scope of practice is
limited to the procedures that the podiatrist has the authority under section
4731.51 of the Revised Code to
perform.